| APPLICANTS INFORMATION |
ForeNames
|
Surname
|
Previous Surname (if changed in last year)
|
Gender
Male
Female |
Date of Birth
|
Marital Status
Married
Single
Divorced
Common-law |
Home Tel. No
|
Mobile Tel. No
|
Current Address
Address
City / Town
County
Postcode
|
Time At This Address
yrs
mo |
Occupancy Type
Owner
Tennant
Other
|
|
Previous Address
Address
City / Town
County
Postcode
|
Time At This Address
yrs
mo |
|
|
| EMPLOYMENT INFORMATION |
Current Employer
|
Employment Status
Over 16 Hours
Sub Contractor
Self Employed |
Occupation/Title
|
Time With Employer
yrs
months.
|
Employer Address
Address
City / Town
County
Postcode
|
Employer Tel. No
|
Computerised P/slip
Yes
No |
|
| BANK DETAILS |
Bank
|
A/C No
|
Sort Code
|
Time With Bank
yrs |
| PROPOSED VEHICLE DETAILS |
Make
|
Model
|
Price Advertised
|
|
Reg. of Vehicle
|
Amount Required on Finance
|
|
|
| DETAILS OF PART EXCHANGE VEHICLE |
Make
|
Model
|
Reg. of Vehicle
|
Mileage
|
Colour
|
MOT Date
|
Describe general condition
|
What price have you in mind
|
| DATA PROTECTION |
In considering your application we will search your record at the credit reference agency Experian or Equifax. They will add to your record details of our search and your application and this will be seen by other organisations that make searches. We may use credit scoring or other automated decision making systems when assessing your application. We may record telephone calls for training purposes. It is important that you give us accurate information. We will check your details with fraud prevention agancies and if you give us false or inaccurate information and we suspect fraud, we will record this. Your record will be shared with other organisations and used by us and them to:- help make decisions about credit for you and members of your household, trace debtors, recover dept, prevent money laundering and fraud. We, and the credit reference agencies and fraud prevention agencies will also use the records for statistical analysis about credit, insurance and fraud. Fraud prevention agency records will also be shared with other organisations to help make decisions on motor, household, credit, life and insurance proposals and insurances claims for you and your household. If we are unable to accept your application at this time, we may hold your information on file and contact you in the future to re-assess your requirment for credit.
You can have a list of those credit reference and fraud prevention agencies from whom we obtain and to whom we pass information about you on request. You have the right to receive a copy of the information held about you. If you apply to us in writing. A fee will be payable. |
|
|
| By clicking the submit button
below, you understand that you will
be contacted either by phone or email from |
